Orange County NC Website
Browse       Search
Standard Assurance to Comply with Older Americans Act <br /> Requirements Regarding Client Rights <br /> for <br /> Agencies Providing In-Home Services through the <br /> Home and Community Care Block Grant for Older Adults <br /> As a provider of one or more of to services listed below, our agency agrees to notify all <br /> Home and Community Care Block Grant clients receiving any of the below listed serAces <br /> provided by this agency of the their rights as a service recipient. Services Included In this <br /> assurance include: <br /> -In-Home Ade <br /> -Home Care(home health) <br /> -Housing and Home Improvement <br /> -Adult Day Care or Adult Day Health Care <br /> Notification will Include, at a minimum, an oral review of the information outlined below as well <br /> as providing each service recipient with a copy of the information in written turn. In addition <br /> providers of in-home services will establish a procedure to document that client rights <br /> information has been discussed with in home services clients (e.g. copy of signed Client Bill <br /> of Rights statement). <br /> Client Rights Information to be communicated to service recipients will include, at a minimum, <br /> the right to <br /> -be fully Informed, In advance, about each in home <br /> service to be provided and any change in services) <br /> that may affect the well-being of the part iapate; <br /> -participate In planning and chaoging any in-home service <br /> provided unless the client is adjudicated incompetent; <br /> -voice a grievance with respect to service that is or fails <br /> W be provided, without discrimination or reprisal as a <br /> amt of voicing a grievance; <br /> -confidentiality of records relating to the individual; <br /> -have property Vested with rescect: and <br /> -be fully informed both orally and in 'writing, in advance <br /> of receiving an in home service,of the individual's rights and obligations. <br /> Client Rights will be distributed to, and discussed with, each new client receiving one or more <br /> of the above listed services prof to the on-set of service. For all Busting diems, the above <br /> information will be provided no later than the next regularly scheduled service reassessment. <br /> Agency Name_QlJOxe�N�u ✓ 0_Zf_SaI ai yii- __ ---------- _ - <br /> Name of Agency Administrator: <br /> Signature',�C(._/!)/jy�L}� a� Date:_ , /{/Le2 _ <br /> (Please return this is h your Area Agency on Aging end r te6 in§copy for your files.) <br />